Reducing emotion dysregulation online in nonclinical population with compassion focused therapy and emotional competencies program: A randomized controlled trial

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology Pub Date : 2024-10-29 DOI:10.1002/jclp.23748

Marine Paucsik, Céline Baeyens, Damien Tessier, Rebecca Shankland

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Abstract

Objectives

The present randomized controlled study aimed to evaluate the effects of two interventions on emotional dysregulation as a primary outcome and on depression, anxiety, stress, well-being, self-compassion and emotional competencies as secondary outcomes. Finally, the mediating role of emotional dysregulation as a core process in the effect of interventions on anxiety-depressive and stress symptoms was evaluated.

Methods

One hundred and seventy-nine individuals aged 18–68 years (M = 39, SD = 12.4; 83.9% females) with emotion regulation difficulties were randomly assigned to one of the three 12-weeks online programs: Compassion Focused Program (CFP), an Emotional Competencies Program (ECP) or a Waitlist control condition (WL). Participants completed pre-, post- and 3 months follow-up measures of each outcome. Mixed effect linear models compared groups on primary and secondary outcomes.

Results

Results showed that (1) perceived credibility and expectancy and satisfaction did not differ between the two interventions, (2) both interventions reduced emotion regulation difficulty, depression, anxiety and stress symptoms, and enhanced well-being, self-compassion, and emotional competencies; (3) ECP was more effective to enhance well-being than CFP; (4) CFP was more effective to enhance emotional competencies than ECP, and (5) emotion regulation difficulty mediated the effect of the interventions on depression, anxiety, and stress symptoms.

Conclusions

Findings offer preliminary support for the usefulness of online CFP and ECP to reduce emotion dysregulation, symptoms of depression, anxiety, and stress and to increase well-being, self-compassion and emotional competencies. These results are discussed regarding clinical practice and the transdiagnostic role of emotional dysregulation.

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通过同情集中疗法和情绪能力计划减少非临床人群的在线情绪失调：随机对照试验

研究目的本随机对照研究旨在评估两种干预措施对情绪失调（主要结果）以及抑郁、焦虑、压力、幸福感、自我同情和情绪能力（次要结果）的影响。最后，还评估了情绪失调作为干预对焦虑-抑郁和压力症状影响的核心过程的中介作用：方法：179 名年龄在 18-68 岁之间、有情绪调节障碍的人（中位数 = 39，标准差 = 12.4；83.9% 为女性）被随机分配到三个为期 12 周的在线项目中的一个：他们被随机分配到三个为期 12 周的在线项目中的一个："同情聚焦项目"（CFP）、"情绪能力项目"（ECP）或 "候补对照项目"（WL）。参与者分别在学习前、学习后和 3 个月内完成了各项结果的跟踪测量。混合效应线性模型比较了各组的主要和次要结果：结果表明：(1) 两种干预方法的感知可信度、期望值和满意度没有差异；(2) 两种干预方法都降低了情绪调节难度、抑郁、焦虑和压力症状，提高了幸福感、自我同情和情绪能力；(3) ECP 比 CFP 更有效地提高了幸福感；(4) CFP 比 ECP 更有效地提高了情绪能力；(5) 情绪调节难度介导了干预方法对抑郁、焦虑和压力症状的影响：研究结果初步证明了在线 CFP 和 ECP 在减少情绪失调、抑郁、焦虑和压力症状以及提高幸福感、自我同情和情绪能力方面的作用。这些结果将在临床实践和情绪失调的跨诊断作用方面进行讨论。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.